Thursday, September 20, 2007

Miscommunication In The age Of Communication 02

still continuing the Discussion about miscommunication , here is my 2nd replay related to this topic with more explanation :

” You Can’t Ease the Communication for Doctors Till You fix the MisCommunication in the medical Environment , so however Health2.0 , Medicine 2.0 will be effective in 30% only in it’s use , we have to Focus On the reality as We Focus On The Virtual Reality … cause The reality is the core . ”

we were talking about miscommunication as a failure of the system .. but i figured i have to as the Base Question ” is it a Malpractice ? and if its , is it Malpractice caused by the system or the individual doctor ?” ….

so if we classify the problem and assign it to it’s real name and classification , we will be able to :

1- detect the real cause ( causes ) behind it .

2-improve our treatment to the problem , we just don’t want a superficial treatment as we need a core treatment . ( superficial treatment always temporary , and could hide the problem symptoms sometime )

3-can predict what’ll happened if this problem became massive at the future4- avoid the future massive consequences coming from it .

so my first point to classify the problem to it’s real ( name , classification and category ) before we start working on it ….

that simple matter ( problem classification) will help us to realize the how big the problem is ….. and how much we should be concerned to fix and cure it …

Miscommunication IS a System MalpracticeCan be Fixed if we fixed the bugs in the system , it’s not just about the doctor … however it’s not similar to the common medical errors , mistakes or accidentals malpractice …

the other Medical errors , mistakes AND/OR Malpractice are individually ( or at least Miseducation , Mis-supervision Or Carelessly) based …. but my point , Miscommunication is a System Based Medical Malpractice …….

thou . it can be fixed , and it’s consequences could be avoidable ….

in my study case i notice :

it’s based in egypt or at least my Area :

1- The Doctors : Miseducation to the rule of communication , sharing and Team consultation concept ….. ( Happened to be in medical school for years , they thought us Solid Science NOT the Core and the soul of medicine , Am Lucky to have my father and some great friends “Doctors ” from Egypt UK , India and Europe who helped me a lot )

2-The Patient and His relative themselves :here in egypt : i can’t say there is No captain in the Ship ( just in the hospitals * Should BE. ) in the real life it’s too much different

Himm Let’s Simplify the Patients to 2 Categories :1-who know Doctor ( Family Doctor , Doctor in The family , Friend )2-Simple patient : who is lonely , do everything by himself … ( Let’s say the normal pathway for any patient , as it should to be , ***** In Corrupted system )

Here : The Patients don’t just go for second opinion : but they went to the 10th opinion ( not cause of the trust but cause they mistaken understand the simple medical rules , and they some what without guidance ) … so imagine some how the doctors Calling their colleagues asking for the case ( Just the current case ) , and believe me , as they should ask they should ask also about ( who ,when , where , which , why , how .* The complete medical history ) we have complete defect in this matter….

So miscommunication here is common ….

Capitan of the Ship is already here in 5 different form :in my state , ( * at Least My City ) every family got many doctors already , so Myself as a case study : here is all my friend and their families considering me as their own private doctor , who’ll seek for the disease , and choose the specialists , and where to do the operation ….etc ….

in my family there is many doctors ….simply there is Capitan of the ship , and Happened to be that one Who cares … ( family , friends ) let’s say the role of the old Capitan of the ship is still existed in Egypt .. in that simple form …..

as a one happened to be in this situation many times , my father for thousands times , i believed it’s Matter of ( care , trust and believe ) between the Patient and That Captin in the ship , ( There is some how misunderstanding Leading TO Confusion of The trust Between the patient and his Doctor ) .

The patient who choose this Capitan of the ship …… we don’t choose the ship ……..

i have to learn myself how to talk medicine common ( In Dialects Arabic Egyptian ) as well ( to help the patients understand me and that’s the first way to the trust and believe )

In about 7 years in the Med School : They don’t Thought us How to Communicate with Patients ( In the common Language *Dialects Arabic Egyptian ) , Even with Other Colleagues ( as team work or to share , discuss , exchange )!!!!!!!!….

If ( If ) : They Thought us How to :1-speak common !!! to communicate with the patients.2-corporate with our colleagues …it might be fix the problem and hold it down ..

so it’s bug in the system ( Miseducation and postgraduate connections ) ….

also after speaking with many doctors all over the world , they suffer the same problem some how …. ….The Massive Miscommunication in Egypt only Happened in Hospitals , at the Consultation ( which is based on the only lonely patients with no doctor he knows to guide him to choose and decide his final choice and decision ..( The Patients already asking for many opinion , imagine how he could choose a treatment himself without help of Guidance ?!!! )

Miscommunication as i see came from : Miseducation

Miscommunication Leads to Misunderstanding , and Misjudgments ….

Leading to Mistreatment , and Finally Malpractice of the system …

Failure of the system … is unavoidable with massive Miscommunication ….

0 Comments:

About

Eclectic news and views on health informatics and elearning, by Rod Ward & colleagues. UK bias but worldwide coverage.
If you want to join the membership so that you can post comments - just let me know rod@rodspace.co.ukReturn to lastest posts